Doctor Name: | MS. SARAH OLIVER PATE |
NPI Number: | 1003100694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-106258 |
Business Practice Address: | 2731 Mlk Jr. Blvd Tuscaloosa, AL - 354015235 |
Business Phone Number: | 2053493250 |
Business Fax Number: | 2053453993 |
Mailing Address: | 2731 Mlk Jr. Blvd, TUSCALOOSA |
State: | AL |
Postal Code: | 354015235 |
Phone Number: | 2053493250 |
Fax Number: | 2053453993 |
NPI Enumeration Date: | 06/01/2011 |
NPI Last Update Date: | 06/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 1-106258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |